| Prairie Health Clinic - Corsica | |
|
230 Main St Corsica SD 57328 | |
| (605) 946-5959 | |
| (605) 946-5616 |
| Full Name | Prairie Health Clinic - Corsica |
|---|---|
| Speciality | Clinic/Center |
| Location | 230 Main St, Corsica, South Dakota |
| Authorized Official Name and Position | Heath R Brouwer (CEO) |
| Authorized Official Contact | 6059465959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Health Clinic - Corsica 230 Main St Po Box 22 Corsica SD 57328 Ph: (605) 946-5959 | Prairie Health Clinic - Corsica 230 Main St Corsica SD 57328 Ph: (605) 946-5959 |
| NPI Number | 1003879958 |
|---|---|
| Provider Enumeration Date | 04/11/2006 |
| Last Update Date | 12/07/2011 |
| Medicare PECOS PAC ID | 7810889771 |
|---|---|
| Medicare Enrollment ID | O20100630000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003879958 | NPI | - | NPPES |
| 5340310 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (South Dakota) | Primary |
Avera Medical Group Corsica Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 265 Main Street, Corsica, SD 57328 Phone: 605-946-5411 Fax: 605-946-5206 | |
Avera Medical Group Corsica Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 265 Main Street, Corsica, SD 57328 Phone: 605-946-5411 Fax: 605-946-5206 |